Individual
MS. TERIA LAVAVIA STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 CAMINO AL NORTE STE 114, N LAS VEGAS, NV 89031-2390
(702) 353-1786
(702) 353-1786
Mailing address
5135 CAMINO AL NORTE STE 114, N LAS VEGAS, NV 89031-2390
(702) 353-1786
(702) 965-2455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-1384714
—
NV
Enumeration date
07/19/2017
Last updated
06/16/2018
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